69E-21341-14717
5 vaccinations
16 coded responses
67 check-ins
16 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 780 / TX
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-01
Registered in v-safe
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2021-02-01
Dose 1 — Moderna
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2021-02-01
Survey response — day 0, dose 1MedDRA: Self-medication, Urticaria — Feeling: GoodFree text: Slight case of internal hives. I've had anaphylaxis from aspirin in the past and it felt a bit like that but not enough to get emergency care. I had the injection about 5 hours ago and about an hour ago I took an antihistamine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
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2021-03-01
Survey response — day 28, dose 1MedDRA: Lymphadenopathy, Telemedicine — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Swollen lymph nodes in neck and right arm pit. · Healthcare visit (other): Virtual appointment with my doctor and then sent to get a strep test and Covid test which were negative. CBC which came back normal and a chest x-ray that indicated a swollen lymph node in my right armpit. Scheduled to have a mammogram on 3/2 as well as my 2nd dose of vaccine. Waiting to get an appointment for a CT scan on my neck and chest.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-02
Dose 2 — Moderna
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2021-03-02
Survey response — day 0, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Since first vaccine I've had swollen lymph nodes in my armpit and neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Swollen lymph nodes in both sides of the neck and in my armpit opposite the side of the vaccine injection · Healthcare visit (other): Last week I had a chest x-ray which indicated the enlarged lymph node in my right axilla. Doctor wanted me to get a mammogram and CT scan of chest and neck area. Yesterday I was refused the mammogram due to having received the 2nd dose of vaccine. I've decided to wait on the CT scan due to having just received the second dose of vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Same as previous day... Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Headache, Joint painsFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint painsFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
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2021-03-09
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Headache, Joint painsFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
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2021-03-23
Survey response — day 21, dose 2MedDRA: Arthralgia, Lymphadenopathy, Migraine — Feeling: PoorFree text: Swollen lymph nodes in neck and both arms. Joint pain in elbows and migraine headaches almost daily. I'm a retired teacher therefore it hasn't caused me to be unable to work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — day 28, dose 2MedDRA: Fatigue, Lymphadenopathy, Migraine — Feeling: FairFree text: Swollen Lymph nodes, migraines and tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
- 2021-06-01
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2021-08-31
Survey response — 6 months, dose 2MedDRA: Oropharyngeal pain, Paranasal sinus hypersecretion, Pre-existing disease, SARS-CoV-2 test negative, Type 2 diabetes mellitus — Feeling: FairFree text: I've had a sore throat for the past five days. I just did a Covid test at home and it's negative. I'm sure my sore throat is due to allergies and sinus drainage.I've also been diagnosed with diabetes type 2 in the past couple of weeks.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-20
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2021-09-21
Call successfulParticipant prefers to complete VAERS report online
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2021-09-21
Call successfulParticipant prefers to complete VAERS report online
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2021-10-29
Dose 3 — Moderna
- 2021-10-29
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-10-31
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Headache probably due to sinuses and weather changing.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
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2022-04-30
Dose 4 — Moderna
- 2022-04-30
- 2022-04-30
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2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
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2022-05-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Muscle or body achesAdult check-in
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2022-05-07
Health check-in — day 7, dose 4Feeling: Fair · Headache, Joint pains, Muscle or body achesAdult check-in
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2022-05-14
Survey response — day 14, dose 4MedDRA: Headache — Feeling: FairFree text: Headaches on the verge of migraines almost dailyMedDRA releases: 2024-11 · check-in free text available
- 2022-05-21
- 2022-05-28
- 2022-06-04
- 2022-06-11
- 2022-07-30
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2022-10-31
Dose 5 — Moderna
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2022-10-31
Survey response — day 0, dose 5MedDRA: Immediate post-injection reaction, Injection site haemorrhage — Feeling: Good · Site: PainFree text: When I got the injection it bled a lot. What is the chance that I didn't get all of the vaccine into my arm that it might have run out with the blood?MedDRA releases: 2024-11 · check-in free text available
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2022-11-01
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work or attend schoolAdult check-in
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2022-11-02
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
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2022-11-03
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Joint pains, Muscle or body achesAdult check-in
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2022-11-05
Survey response — days 1–6 daily, dose 5MedDRA: Ear pain, Paranasal sinus discomfort, Vertigo — Feeling: Fair · Headache, Joint pains, Muscle or body achesFree text: Vertigo and earache from sinus pressureMedDRA releases: 2024-11 · check-in free text available
- 2022-11-06
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2022-11-07
Health check-in — day 7, dose 5Feeling: Fair · Headache, Joint pains, Muscle or body achesAdult check-in
- 2022-11-14
- 2022-11-23
- 2022-11-28
- 2022-12-05
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2022-12-12
Survey response — day 42, dose 5MedDRA: COVID-19, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Diagnosed with SARS COVID 2 on December 11. Sore throat, congestion in head and chest.MedDRA releases: 2024-11 · check-in free text available
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2022-12-12
Report sent to call center — day 42, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-13
- 2022-12-15
-
2022-12-15
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-30 | Moderna | No |
| 5 | 2022-10-31 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Slight case of internal hives. I've had anaphylaxis from aspirin in the past and it felt a bit like that but not enough to get emergency care. I had the injection about 5 hours ago and about an hour ago I took an antihistamine.
Release 4 — day 28, dose 1
Symptoms: Swollen lymph nodes in neck and right arm pit.
Healthcare visit (other): Virtual appointment with my doctor and then sent to get a strep test and Covid test which were negative. CBC which came back normal and a chest x-ray that indicated a swollen lymph node in my right armpit. Scheduled to have a mammogram on 3/2 as well as my 2nd dose of vaccine. Waiting to get an appointment for a CT scan on my neck and chest.
Release 4 — day 0, dose 2
Systemic reaction (other): Since first vaccine I've had swollen lymph nodes in my armpit and neck
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen lymph nodes in both sides of the neck and in my armpit opposite the side of the vaccine injection
Healthcare visit (other): Last week I had a chest x-ray which indicated the enlarged lymph node in my right axilla. Doctor wanted me to get a mammogram and CT scan of chest and neck area. Yesterday I was refused the mammogram due to having received the 2nd dose of vaccine. I've decided to wait on the CT scan due to having just received the second dose of vaccine.
Systemic reaction (other): Same as previous day... Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes
Release 5 — day 7, dose 2
Systemic reaction (other): Swollen lymph nodes
Release 6 — day 21, dose 2
Symptoms: Swollen lymph nodes in neck and both arms. Joint pain in elbows and migraine headaches almost daily. I'm a retired teacher therefore it hasn't caused me to be unable to work.
Release 6 — day 28, dose 2
Symptoms: Swollen Lymph nodes, migraines and tired.
Release 9 — 6 months, dose 2
Symptoms: I've had a sore throat for the past five days. I just did a Covid test at home and it's negative. I'm sure my sore throat is due to allergies and sinus drainage.I've also been diagnosed with diabetes type 2 in the past couple of weeks.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Headache probably due to sinuses and weather changing.
Release 11 — day 14, dose 4
Symptoms: Headaches on the verge of migraines almost daily
Release 12 — day 0, dose 5
Systemic reaction (other): When I got the injection it bled a lot. What is the chance that I didn't get all of the vaccine into my arm that it might have run out with the blood?
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Vertigo and earache from sinus pressure
Release 12 — day 42, dose 5
Symptoms: Diagnosed with SARS COVID 2 on December 11. Sore throat, congestion in head and chest.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Lymphadenopathy | ✓ | ✓ | ✓ |
| HCVO | Telemedicine | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Type 2 diabetes mellitus | ✓ | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Injection site haemorrhage | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release